(06-19-2014 04:46 AM)vsheline Wrote: I am not sure whether Apnea Board has the latest manual for your model, which I believe was first made in November 2012. The 2011 edition does not cover the new "ASV Auto" mode which your machine includes, in addition to the older "ASV" mode and standard plain "CPAP" mode.

the manual for the vpap adapt is for the 36037 model (speaking as one who's gotten the manual to help setting the 36037 I bought for a friend).

(05-25-2013 06:01 AM)archangle Wrote: "Do it yourself" treatment with an ASV machine is a lot harder than CPAP. You don't just push the "auto" button and expect it to find the right answer. ...
ASV is also a lot harder for many people to adapt to.

that's actually pretty much what you do with a resmed S9 vpap adapt 36037... there's only four settings on it at any rate.

Yes, the S9 VPAP Adapt pretty much takes care of adjusting itself.

But ASV can be hard to adapt to, in addition to getting used to the machine having a will of its own (which, while very annoying at first, is actually the least difficult thing to get past).

The ASV feature requires Pressure Support (PS) to be high during central apneas. If a patient requires both high EPAP to prevent obstructive events (up to 15 cm H2O, the highest the S9 VPAP Adapt can provide) plus high Pressure Support to treat a central apnea, the EPAP + PS pressures combine, making IPAP approach 25 cm H2O. This makes aerophagia hard to avoid, and to prevent bothersome mask flapping a mask liner may be needed (which may touch the eyelashes and be annoying) and the mask straps may need to be uncomfortably tight.

To keep our overall pressure needs as low as possible, it is important to be sure we avoid a sleep position which makes our obstructive apneas require more pressure to treat.
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